From: Inadequate management of pneumonia among children in South Ethiopia: findings from descriptive study
Indicators | Metric | Definitions | Measurement method/sources | Categories measured |
---|---|---|---|---|
Supervision | Numerator: Number of health facilities that received at least one visit of routine supervision (excluding the follow-up visits to health workers shortly after their training that are part of IMNCI training), which included the observation of case management during the previous three/six months Denominator: Number of health facilities surveyed. | Proportion of facilities received at least one supervisory visit that included the observation of case management during the previous six months for IMNCI trained staffs, and three months for iCCM trained health extension workers | Health workers questionnaire interview | |
Essential oral treatment for pneumonia | Numerator: Number of first-line oral treatments available the day of visit Denominator: 2 | Arithmetic mean of essential oral drugs recommended for the home treatment of pneumonia available at each facility the day of visit | Direct observation Stocks | • Amoxicillin syrup/suspension • Cotrimoxazole syrup/suspension |
Injectable drugs for pre-referral treatment of pneumonia | Numerator: Number of injectable drugs for pre-referral treatment available the day of visit Denominator: 4 | Arithmetic mean of recommended injectable pre-referral treatment for children and young infants with severe classification needing immediate referral divided by four for IMNCI and divided by one for iCCM. | Direct observation Stocks | • Ampicillin • Chloramphenicol • Gentamycin* • Benzylpeniciline |
Equipment and supplies for vaccine | Numerator: Number of health facilities that have the equipment and supplies to support full vaccination services on the day of survey Denominator: Number of health facilities surveyed | Proportion of health facilities that have the equipment and supplies to provide full vaccination services on the day of survey | Direct observation Vaccination room and stocks | • Functioning refrigerator or cold chain • Needles/syringes |
Key vaccines | Numerator: Number of the recommended vaccines available the day of visit Denominator: 5 | Arithmetic mean of recommended vaccines available at each facility the days of visits | Direct observation Vaccination room and stocks | • BCG • Polio • DPT-HepB-Hib • PCV • Measles |
Trained IMNCI | Numerator: Number of health facilities with at least 60% of health workers managing children who are trained in IMNCI Denominator: Number of health facilities surveyed | Proportion of health facilities with at least 60% of health workers managing children trained in IMNCI | Head of facility questionnaire interview | |
iCCM trained health extension workers (HEW) density | Numerator: Number of HEWs who are trained and deployed (to serve in a specific target area) Denominator: Number of children under five in target communities ÷ 1000 | Number of CHWs trained and deployed for iCCM per 1000 children under 5 years of age in target areas | Head of facility questionnaire interview | |
Correct case management for severe pneumonia (knowledge) | Numerator: Number of health workers who respond to correct management for case scenario Denominator: Number of health workers assessed | Proportion of health workers who gave correct response for the management of case scenario | Application of case scenario to health workers | |
All essential job aids and supplies for the management of pneumonia | Numerator: Number of health facilities with all the needed equipment and materials Denominator: Number of health facilities surveyed | The proportion of health facilities that have all the needed equipment and materials available on the day of the survey. | Direct observation of outpatient department | • Respiratory timer • Thermometer • Syringe and needles • IMNCI/iCCM chart booklet • Mother’s counselling cards |
Supervisory visits received | Mean (and range) of the number of supervisory visits received for IMNCI in the last six months and for iCCM in the last three months | Health worker questionnaire interview | ||
Facility open | Mean (and range) for: days per week the facility is open | Health worker questionnaire interview | ||
Child services | Mean (and range) for: days per week child health services are provided | Health worker questionnaire interview | ||
Vaccination services | Mean (and range) for: days per week vaccination services are available | Health worker questionnaire interview | ||
Time travel to nearest referral facility | Mean (and range) of the time required to get to the nearest referral facility | Health worker questionnaire interview | ||
Case load | Median (and range) of the number of sick child visits during the previous month | Record review | ||
IMNCI trained | Numerator: the total number of staff managing children trained in IMNCI Denominator: the total number of staff assigned to the case management of children. | The proportion of staff trained in IMNCI actually present and managing children the day of visit | Head of facility questionnaire interview |